Abstract
Nitinol self-expanding stents are increasingly used to treat symptomatic peripheral arterial disease. Despite reduction in procedural complications and rates of stent fracture, femoropopliteal in-stent restenosis (FP-ISR) remains a common and important clinical problem. Due to heterogenous patient and angiographic characteristics, treatment of FP-ISR continues to evolve. Multiple modalities have been evaluated including standard balloon angioplasty, cutting or scoring balloon angioplasty, repeat stenting (nitinol stent vs. stent-graft vs. drug eluting stent), excisional or laser atherectomy, drug coated balloon angioplasty, and atherectomy followed by drug coated balloon angioplasty. This review highlights the clinical evidence for the currently available modalities in the treatment of FP-ISR. Future studies should utilize uniform classification schemes and assess similar outcomes to help determine the optimal approach for endovascular treatment of FP-ISR.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 325-333 |
| Number of pages | 9 |
| Journal | Journal of Cardiovascular Surgery |
| Volume | 55 |
| Issue number | 3 |
| State | Published - 2014 |
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Keywords
- Endovascular procedures
- Ischemia
- Sents
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Femoropopliteal in-stent restenosis : Current treatment strategies. / Singh, Gagan; Armstrong, E. J.; Laird, J. R.
In: Journal of Cardiovascular Surgery, Vol. 55, No. 3, 2014, p. 325-333.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Femoropopliteal in-stent restenosis
T2 - Current treatment strategies
AU - Singh, Gagan
AU - Armstrong, E. J.
AU - Laird, J. R.
PY - 2014
Y1 - 2014
N2 - Nitinol self-expanding stents are increasingly used to treat symptomatic peripheral arterial disease. Despite reduction in procedural complications and rates of stent fracture, femoropopliteal in-stent restenosis (FP-ISR) remains a common and important clinical problem. Due to heterogenous patient and angiographic characteristics, treatment of FP-ISR continues to evolve. Multiple modalities have been evaluated including standard balloon angioplasty, cutting or scoring balloon angioplasty, repeat stenting (nitinol stent vs. stent-graft vs. drug eluting stent), excisional or laser atherectomy, drug coated balloon angioplasty, and atherectomy followed by drug coated balloon angioplasty. This review highlights the clinical evidence for the currently available modalities in the treatment of FP-ISR. Future studies should utilize uniform classification schemes and assess similar outcomes to help determine the optimal approach for endovascular treatment of FP-ISR.
AB - Nitinol self-expanding stents are increasingly used to treat symptomatic peripheral arterial disease. Despite reduction in procedural complications and rates of stent fracture, femoropopliteal in-stent restenosis (FP-ISR) remains a common and important clinical problem. Due to heterogenous patient and angiographic characteristics, treatment of FP-ISR continues to evolve. Multiple modalities have been evaluated including standard balloon angioplasty, cutting or scoring balloon angioplasty, repeat stenting (nitinol stent vs. stent-graft vs. drug eluting stent), excisional or laser atherectomy, drug coated balloon angioplasty, and atherectomy followed by drug coated balloon angioplasty. This review highlights the clinical evidence for the currently available modalities in the treatment of FP-ISR. Future studies should utilize uniform classification schemes and assess similar outcomes to help determine the optimal approach for endovascular treatment of FP-ISR.
KW - Endovascular procedures
KW - Ischemia
KW - Sents
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UR - http://www.scopus.com/inward/citedby.url?scp=84901819529&partnerID=8YFLogxK
M3 - Article
C2 - 24755700
AN - SCOPUS:84901819529
VL - 55
SP - 325
EP - 333
JO - Journal of Cardiovascular Surgery
JF - Journal of Cardiovascular Surgery
SN - 0021-9509
IS - 3
ER -